Helping Alliance and Unmet Needs in Routine Care of People With Severe Mental Illness Across Europe

• DOI: 10.1097/nmd.0000000000000650
• Publication Date: 2017-03-28T19:32:14Z
• Authors: Katrin Arnold; Sabine Loos; Benjamin Mayer; Eleanor Clarke; Mike Slade; Andrea Fiorillo; Valeria Del Vecchio; Anikó Égerházi; Tibor Ivánka; Pøvl Munk-Jørgensen; Malene Krogsgaard...; Wolfram Kawohl; Wulf Rössler; Bernd Puschner
• Keywords: Social needs; Needs assessment

The helping alliance (HA) refers to the collaborative bond between patient and therapist, including shared goals tasks. People with severe mental illness have a complex mixture of clinical social needs. Using mixed-effects regression, this study examined in 588 people whether an increase HA is associated fewer unmet needs over time, change precedes It was found that reduction slower patients higher (B = 0.04, p < 0.0001) only for patient-rated measures. Improvement both staff-rated time subsequent -0.10, -0.08, 0.0175) With positive changes preceding needs, findings provide further evidence causal relationship outcome treatment illness.